Mobile Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004506 Issued in MI

Legal business name

MOBILE EYE CARE, LLC

Practice address

22137 Michigan Ave
Dearborn, MI 48124-2204

Phone

(313) 278-7336

NPI assigned

Dec 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Baseem Wahab, ODNPI 1275503856

Title

Managing Member

Phone

(313) 278-7336

Specialties & licenses 1

Addresses

Other names 1

• Seen Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Baseem Wahab

  • Optometrist
  • Dearborn, MI
  • NPI 1275503856
  Medicare reassignment NPD Authorized official
• Jacques Gerard Darmon, DPM

  • Podiatrist
  • Franklin, MI
  • NPI 1003818022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1962705491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481232044",
            "telephone_number": "313-278-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22137 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242204",
            "telephone_number": "313-278-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "WAHAB",
        "authorized_official_first_name": "BASEEM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "313-278-7336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seen Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MK Care LLC
• Julie Diane Mladic, DO
• MML Consulting Management LLC
• Wisam Nabeel Mnkana
• Mobicare
• Mobile Physician Group, PLLC
• Melissa Daria Moccia-Patton, D.D.S.
• Romulo M Mocorro Jr., CRNA
• Modern American Dental Clinic P. C.
• Modern American Dental Clinic PC

• Optometrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.